Medical Eye Exam




Medical Eye Exam


For patients with specific ocular medical concerns, there are different evaluations available.

Red Eye Evaluation


There are many different causes to have a red eye. A common problem is “Pink Eye,” which can be bacterial or viral in cause. If your pink eye is bacterial, antibiotic drops will be given to clear out the infection. If the pink eye is viral, just like a cold, the infection will have to run its course, however there are some eye drops that can help reduce symptoms. These are very infectious conditions, and can be easily transmitted to the other eye or other people. Practicing good hygiene with handwashing and not reusing tissues/handkerchiefs, as well as avoiding touching the eye is important. Close monitoring and follow-up is important to ensure the eye returns to normal health and does not end up with permanent damage. Allergic causes to a red eye can benefit from prescription ocular medications as well.

Dry Eye Evaluation


If your eyes feel gritty, burning or are always red, consider a dry eye evaluation. This evaluation includes looking at the quality of your tear film, the evaporation time of your tears (Tear Breakup Time aka “TBUT”), meibomian gland evaluation (meibomian glands secrete meibum which is the oily top layer of tears that prevent evaporation), and evaluating the cornea for any signs of damage. The evaluation will include sitting in an instrument called the slit lamp. A yellow dye and blue light is also used to evaluate the tears and cornea.

Diabetic Retinal Evaluation


For all our diabetic patients, a dilated retinal exam is recommended. This evaluation will look for any retinal damage that can occur with diabetes including bleeding, vessel leaking, retinal damage and new blood vessel growth. Diabetes can be sight-threatening, so an annual comprehensive eye examination with eye dilation is recommended every year.

Retinal Detachment Evaluation


If you have been noticing multiple floaters, flashes of light or a curtain of vision loss, you may have a retinal detachment. This is a time-sensitive sight-threatening emergency condition. The optometrist will dilate your eyes to identify if there is truly a retinal detachment occurring, and make the proper referral to an ophthalmologist for treatment.

Glaucoma Evaluation


A glaucoma evaluation will include a careful evaluation with eye dilation of your optic nerve, nerve fiber layer, eye pressure, and anatomic angle. Additional testing is typically needed to evaluate your visual field (peripheral vision) and obtain a laser scan of the optic nerve to quantify the amount of neural tissue present.

(duplicated from eye pressure portion) What are symptoms of glaucoma?
  • Glaucoma has been known as the “silent thief” of eyesight. You may not notice any symptoms of glaucoma, such as peripheral vision loss, until permanent damage has occurred. This is why it is important to have annual eye examinations to check the health of your eyes.
  • However, a less common form of glaucoma, called angle closure glaucoma, can be very symptomatic. Symptoms include blurred vision, halos around lights, severe eye pain, tunnel vision, headaches, and in some cases nausea and vomiting. If you are experiencing any of these symptoms you should contact a physician as soon as possible.
How do you treat Glaucoma?
  • Every glaucoma case is unique and should be treated by an Optometrist or Ophthalmologist licensed to treat glaucoma. Some common treatments include oral medication, eye drops, laser treatment, or surgery.
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